MICAH HAMM (FNP) – Family Nurse Practitioner, NPI 1871127019

MICAH HAMM (FNP) is a healthcare provider. based in Vandalia, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209020719 (IL). The NPI Number for MICAH HAMM (FNP) is 1871127019

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MICAH HAMM (FNP)
NPI
1871127019
Phone
Not provided
Address
650 W TAYLOR ST
Enumeration Date
26 February 2020
Last Update Date
16 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178765200
Graduation Year
2019 (7 years ago)
PAC ID
3476982117
Group Practice PAC ID
6204731144
Professional Enrollment ID
I20200401002150
Address ID
IL625359767FO241XXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MICAH HAMM (FNP)

  • 650 W TAYLOR ST

    VANDALIA, IL 624711227

    Phone:

    Type: Mailing

  • 4775 E MARYLAND ST

    DECATUR, IL 625218820

    Phone: (217) 864-3737

    Fax: (217) 864-3468

    Type: Location

  • 241 W WEAVER RD STE 145D

    FORSYTH, IL 625359768

    Phone: (217) 876-5200

    Fax: (217) 876-5206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200401002150INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes429332$0
99213Established patient office or other outpatient visit, 20-29 minutes129105$0
99215Established patient office or other outpatient visit, 40-54 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 62471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204731144View full group profile
NameSpecialtyState
-IL
General Surgery, Colorectal Surgery (Proctology)IL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMO
Nurse PractitionerIL
-IL
-IL
Physician AssistantIL
-IL
-IL
-IL

Reviews

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Frequently asked questions

How do payers reference MICAH HAMM (FNP)?
For MICAH HAMM (FNP), use NPI 1871127019 as the unique 10-digit identifier.
Is MICAH HAMM (FNP) still an active registrant?
MICAH HAMM (FNP) carries an active NPI according to the public dataset.
How would a patient describe MICAH HAMM (FNP)'s focus?
For MICAH HAMM (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICAH HAMM (FNP)?
Travel planning: use Vandalia, Illinois as the reference point for MICAH HAMM (FNP), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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